gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Comparison of conservative versus operative treatment of peripheral TFCC tear after acute distal radius fractures

Meeting Abstract

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  • presenting/speaker Tae-Min Kim - Konkuk University School of Medicine, Seoul, South Korea
  • Seoung-Joon Lee - Konkuk University School of Medicine, Seoul, South Korea

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-456

doi: 10.3205/19ifssh1280, urn:nbn:de:0183-19ifssh12803

Veröffentlicht: 6. Februar 2020

© 2020 Kim et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: This study was designed to compare the clinical outcomes and residual instability conservative and operative treatment of peripheral TFCC tear after acute distal radius fractures.

Methods: we reviewed retrospectively patients who treated with volar locking plate for distal radius fractures. We enrolled 39 patients suffering from the distal radius fracture with peripheral tear of TFCC that confirmed with arthroscopy. All distal radius fractures were fixed with a volar locking plate. 26 patients of them were conservatively treated with long arm splint (group A). 13 patients were operatively treated with TFCC repair (group B). We compared the clinical outcomes between the conservative and operative treatments, using their range of motion; Disabilities of the Arm, Shoulder, and Hand score; PRWE score; and grip strength. At finial follow-up, we checked DRUJ stability with stress test and recorded the grade of DRUJ stability from 0 to 3.

Results and Conclusions: There was no statistically significant difference in the DASH score, PRWE score, grip strength, and wrist range of motion between two group. At final follow-up, DRUJ stress test showed similar stability in both groups.

We think that the conservative treatment with long arm splinting will provide good clinical results without DURJ instability.